Clarke's Test
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Clarke's Test
In medicine, Clarke's test (also known as the Osmond-Clarke test or patellar grind test) is a component of knee examination which may be used to test for patellofemoral pain syndrome, chondromalacia patellae, patellofemoral arthritis, or anterior knee pain. It is not a standard part of the knee examination but is used to diagnose anterior knee pain where the history indicates this as the likely pathology. The patient is asked to actively contract the quadriceps muscle while the examiner's hand exerts pressure on the superior pole of the patella, so trying to prevent the proximal movement of the patella. While it can produce some discomfort even in normal people, the reproduction of the symptoms suggest pain of patellofemoral origin.Porter S. "Tidy's Physiotherapy15: Tidy's Physiotherapy". Elsevier 2013. Evidence for the validity of Clarke's test is limited and some sources claim the test is not clinically useful, though it remains prevalent in clinical practice. See also * Knee ...
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Patellofemoral Pain Syndrome
Patellofemoral pain syndrome (PFPS; not to be confused with jumper's knee) is knee pain as a result of problems between the kneecap and the femur. The pain is generally in the front of the knee and comes on gradually. Pain may worsen with sitting, excessive use, or climbing and descending stairs. While the exact cause is unclear, it is believed to be due to overuse. Risk factors include trauma, increased training, and a weak quadriceps muscle. It is particularly common among runners. The diagnosis is generally based on the symptoms and examination. If pushing the kneecap into the femur increases the pain, the diagnosis is more likely. Treatment typically involves rest and rehabilitation with a Physical Therapist. Runners may need to switch to activities such as cycling or swimming. Insoles may help some people. Symptoms may last for years despite treatment. Patellofemoral pain syndrome is the most common cause of knee pain, affecting more than 20% of young adults. It occurs ...
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Chondromalacia Patellae
Chondromalacia patellae (also known as CMP) is an inflammation of the underside of the patella and softening of the cartilage. The cartilage under the kneecap is a natural shock absorber, and overuse, injury, and many other factors can cause increased deterioration and breakdown of the cartilage. The cartilage is no longer smooth and therefore movement and use is very painful. While it often affects young individuals engaged in active sports, it also afflicts older adults who overwork their knees. ''Chondromalacia patellae'' is sometimes used synonymously with patellofemoral pain syndrome. However, there is general consensus that ''patellofemoral pain syndrome'' applies only to individuals without cartilage damage. This condition is also known as Chondrosis. The term literally translates to softening (malakia) of cartilage (chondros) behind patella in Greek. Cause The condition may result from acute injury to the patella or chronic friction between the patella and a groove in ...
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Arthritis
Arthritis is a term often used to mean any disorder that affects joints. Symptoms generally include joint pain and stiffness. Other symptoms may include redness, warmth, swelling, and decreased range of motion of the affected joints. In some types of arthritis, other organs are also affected. Onset can be gradual or sudden. There are over 100 types of arthritis. The most common forms are osteoarthritis (degenerative joint disease) and rheumatoid arthritis. Osteoarthritis usually occurs with age and affects the fingers, knees, and hips. Rheumatoid arthritis is an autoimmune disorder that often affects the hands and feet. Other types include gout, lupus, fibromyalgia, and septic arthritis. They are all types of rheumatic disease. Treatment may include resting the joint and alternating between applying ice and heat. Weight loss and exercise may also be useful. Recommended medications may depend on the form of arthritis. These may include pain medications such as ibuprofen ...
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Knee Examination
The knee examination, in medicine and physiotherapy, is performed as part of a physical examination, or when a patient presents with knee pain or a history that suggests a pathology of the knee joint. The exam includes several parts: *position/lighting/draping *inspection *palpation *motion The latter three steps are often remembered with the saying ''look, feel, move''. History taking Before performing a physical examination of the knee joint, a comprehensive history should be asked. A thorough history can be helpful in locating the possible pathological site during the physical examination. The mechanism of injury, location, character of the knee pain, the presence of a "pop" sound at the time of the injury (indicates ligamentous tear or fracture), swelling, infections, ability to stand or walk, sensation of instability (suggestive of subluxation), or any previous traumatic injuries to the joint are all important historical features. The most common knee problems are: soft tissue ...
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Chondromalacia Patellae
Chondromalacia patellae (also known as CMP) is an inflammation of the underside of the patella and softening of the cartilage. The cartilage under the kneecap is a natural shock absorber, and overuse, injury, and many other factors can cause increased deterioration and breakdown of the cartilage. The cartilage is no longer smooth and therefore movement and use is very painful. While it often affects young individuals engaged in active sports, it also afflicts older adults who overwork their knees. ''Chondromalacia patellae'' is sometimes used synonymously with patellofemoral pain syndrome. However, there is general consensus that ''patellofemoral pain syndrome'' applies only to individuals without cartilage damage. This condition is also known as Chondrosis. The term literally translates to softening (malakia) of cartilage (chondros) behind patella in Greek. Cause The condition may result from acute injury to the patella or chronic friction between the patella and a groove in ...
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Quadriceps
The quadriceps femoris muscle (, also called the quadriceps extensor, quadriceps or quads) is a large muscle group that includes the four prevailing muscles on the front of the thigh. It is the sole extensor muscle of the knee, forming a large fleshy mass which covers the front and sides of the femur. The name derives . Structure Parts The quadriceps femoris muscle is subdivided into four separate muscles (the 'heads'), with the first superficial to the other three over the femur (from the trochanters to the condyles): *The rectus femoris muscle occupies the middle of the thigh, covering most of the other three quadriceps muscles. It originates on the ilium. It is named for its straight course. *The vastus lateralis muscle is on the ''lateral side'' of the femur (i.e. on the outer side of the thigh). *The vastus medialis muscle is on the ''medial side'' of the femur (i.e. on the inner part thigh). *The vastus intermedius muscle lies between vastus lateralis and vastus mediali ...
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Superior (anatomy)
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and anatomical axes. The meaning of terms that are used can change depending on whether an organism is bipedal or quadrupedal. Additionally, for some animals such as invertebrates, some terms may not have any meaning at all; for example, an animal that is radially symmetrical will have no anterior surface, but can still have a description that a part is close to the middle ("proximal") or further from the middle ("distal"). International organisations have determined vocabularies that are often used as standard vocabularies for subdisciplines of anatom ...
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Patella
The patella, also known as the kneecap, is a flat, rounded triangular bone which articulates with the femur (thigh bone) and covers and protects the anterior articular surface of the knee joint. The patella is found in many tetrapods, such as mice, cats, birds and dogs, but not in whales, or most reptiles. In humans, the patella is the largest sesamoid bone (i.e., embedded within a tendon or a muscle) in the body. Babies are born with a patella of soft cartilage which begins to ossify into bone at about four years of age. Structure The patella is a sesamoid bone roughly triangular in shape, with the apex of the patella facing downwards. The apex is the most inferior (lowest) part of the patella. It is pointed in shape, and gives attachment to the patellar ligament. The front and back surfaces are joined by a thin margin and towards centre by a thicker margin. The tendon of the quadriceps femoris muscle attaches to the base of the patella., with the vastus intermedius muscle ...
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Anatomical Terms Of Location
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and anatomical axes. The meaning of terms that are used can change depending on whether an organism is bipedal or quadrupedal. Additionally, for some animals such as invertebrates, some terms may not have any meaning at all; for example, an animal that is radially symmetrical will have no anterior surface, but can still have a description that a part is close to the middle ("proximal") or further from the middle ("distal"). International organisations have determined vocabularies that are often used as standard vocabularies for subdisciplines of anatom ...
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Knee Examination
The knee examination, in medicine and physiotherapy, is performed as part of a physical examination, or when a patient presents with knee pain or a history that suggests a pathology of the knee joint. The exam includes several parts: *position/lighting/draping *inspection *palpation *motion The latter three steps are often remembered with the saying ''look, feel, move''. History taking Before performing a physical examination of the knee joint, a comprehensive history should be asked. A thorough history can be helpful in locating the possible pathological site during the physical examination. The mechanism of injury, location, character of the knee pain, the presence of a "pop" sound at the time of the injury (indicates ligamentous tear or fracture), swelling, infections, ability to stand or walk, sensation of instability (suggestive of subluxation), or any previous traumatic injuries to the joint are all important historical features. The most common knee problems are: soft tissue ...
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Examination Of The Knee
Examination may refer to: * Physical examination, a medical procedure * Questioning and more specific forms thereof, for example in law: ** Cross-examination ** Direct examination * Exam as assessment, also "test", "exams", "evaluation" ** Civil service entrance examination *** Imperial examination See also * Analysis * Appraisal (other) * Assessment (other) * Evaluation * Evaluation (other) * Exam (other) * Investigation (other) * Study (other) Study or studies may refer to: General * Education **Higher education * Clinical trial * Experiment * Observational study * Research * Study skills, abilities and approaches applied to learning Other * Study (art), a drawing or series of drawin ...
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